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DESIREE STACEY
NPI 1164274890
Counselor - Mental Health in Taos, NM

Active since April 04, 2024PECOS Enrolled
105 BERTHA RD STE B, TAOS, NM 87571(575) 758-4297 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 24, 2025, Apr 4, 2024 (2 updates tracked since 2024).

About Desiree Stacey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE STACEY (NPI 1164274890) is an individual mental health provider in Taos, New Mexico and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164274890
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESIREE STACEY
Location Address105 BERTHA RD STE BTaos, NM 87571-7148
Mailing AddressPo Box 3886Taos, NM 87571-3886
Phone(575) 758-4297
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 4, 2024
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1164274890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 BERTHA RD STE B, Taos, NM 87571
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree Stacey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234612912
PECOS Enrollment IDI20260311001104
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA DIAZ LMHC
Marriage & Family Therapist
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (505) 758-4297
CATHERINE SHANK
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
LAURALEE TRUJILLO
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
MIGUEL QUINTANA
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
JOANN VISARRAGA
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
NIKKI VUE
Peer Specialist
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
CK SATTERTHWAITE
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (505) 758-4297
LESLY GUERRERO
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-7958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desiree Stacey's NPI number?

The NPI number for Desiree Stacey is 1164274890. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Desiree Stacey located?

Desiree Stacey practices at 105 Bertha Rd Ste B, Taos, NM 87571. The listed phone number is (575) 758-4297.

What is Desiree Stacey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Desiree Stacey enrolled in Medicare?

Yes. Desiree Stacey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Desiree Stacey was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.